https://www.gastrotraining.com Largest online gastroenterology, hepatology and endoscopy education and training resource with histology, x-ray images, videos, gastro calculators, and MCQs. Thu, 04 Dec 2025 21:29:42 +0000 en-US hourly 1 http://wordpress.org/?v= https://www.gastrotraining.com/endoscopy/general/diabetes-management/diabetes-management-for-endoscopy https://www.gastrotraining.com/endoscopy/general/diabetes-management/diabetes-management-for-endoscopy#comments Wed, 18 Aug 2010 12:23:52 +0000 Gastro Training http://www.gastrotraining.com/?p=3280 Diabetic patients should be investigated early in the morning, preferably first on
the list where possible.

1. Patients on insulin:
   • OGD
     • Take insulin as normal the day prior to examination
     • Omit Breakfast and morning insulin on the day of examination
     • Test blood glucose regularly
     • Give 50% of usual morning insulin with a light snack on completion of examination
     • Resume normal insulin regime with next main meal
   • Colonoscopy
     • During bowel prep reduce insulin dosage by 50%
     • Test blood glucose regularly
     • Give 50% of morning dose of insulin with snack immediately after examination
     • Resume usual insulin regime with next main meal and extra snack at bedtime
2. Patients on oral hypoglycaemic agents:
   • Take medication as normal until the day of examination
   • Omit morning dose of medication
   • Test glucose regularly
   • Restart tablets with first meal

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